Active NPI
Kathryn M Nides, RD
- Registered Dietitian
- Nashville, TN
National Provider Identifier
1073783098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2018
- Practice address
- 3322 W End Ave
Nashville, TN 37203-1031 - Phone
- (615) 515-9880
- NPI assigned
- Mar 5, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2018 | LA | Primary |
Addresses
Primary practice location
3322 W End Ave
Nashville, TN 37203-1031
Mailing address
1040 River Oaks Dr Ste 302
Jackson, MS 39232-9575
Phone (601) 939-9923
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414627200000",
"number": "1073783098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 RIVER OAKS DR STE 302",
"city": "JACKSON",
"state": "MS",
"postal_code": "392329575",
"telephone_number": "601-939-9923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3322 W END AVE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031031",
"telephone_number": "615-515-9880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIDES",
"first_name": "KATHRYN",
"middle_name": "M",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-05",
"last_updated": "2014-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "LA",
"license": "2018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.